I have 20 years' experience as a consultant general, vascular and endocrine surgeon. I have a major interest in thyroid and parathyroid surgery and hold joint clinics with an endocrinologist attending the head and neck MDT.I am the main provider of varicose vein surgery at Epsom and St Helier Hospitals, offering open and endovenous surgery. My masters thesis was on the diagnosis and management of venous disease. I have extensive experience on arterial and venous diagnostics including duplex scanning in the assessment of patients with leg pain.I have 20 years' experience of treating patients with sclerotherapy. I have extensive experience in both open and laparoscopic hernia surgery, which is the focus of my surgical training in Malawi in my role as medical director of AMECA (www.ameca.org.uk).I am surgical lead for thyroid surgery at Epsom, St Helier and St Peter's Hospitals, performing 100 thyroids/parathyroids per year, with outcomes published on BAETS database.